You get this item by looting bodies of your enemies in Ashran.
There are "body parts" from all the races. Its really hard to loot, due to amount of players.
Most of the time looting is set to "group" in raids, so you have to roll for it, good luck :)
Quest
Severed Night Elf Head
A World of Warcraft quest in Ashran. Facts and objectives from the current retail game data.
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Gnome heads are better
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At a glance
Severed Night Elf Head is a quest for level 40 in Ashran. It rewards 1 reward item, 1 reputation reward and money.
Quest facts
The client quest POI data records no map location for this quest, so no map is shown.
Check whether you have already completed this quest
in-game: /run print(C_QuestLog.IsQuestFlaggedCompleted(36033))
Requirements
Read from the Blizzard quest API.
Description
THEIR HEAD! BRING ME THOSE NON-DAYLIGHT ELF HEADS!
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Reward details
Items you receive
Reputation: Vol'jin's Spear +2,500
Horde forces in Ashran, stationed at Warspear.
Reputation group: Horde Forces.
Other quests in Ashran that reward Vol'jin's Spear reputation: Dwarf Spine (+2,500), Pandaren Hide (+2,500), Tuft of Gnome Hair (+2,500), Draenei Tail (+2,500), Human Bone Chip (+2,500), Worgen Snout (+2,500).
Item facts are the current retail client’s (ItemSparse); the specialisations for a pick-one item are the ones the Blizzard quest API lists; faction and currency text is the client’s own. Lowest listed price = the US commodity auction house now.